Congenital Bile Acid Synthesis Defect Type 1 via the HSD3B7 Gene

Summary and Pricing

Test Method

Exome Sequencing with CNV Detection
Test Code Test Copy GenesPrice Test CPT CodeGene CPT Codes Copy CPT Codes STAT Prenatal
11379 HSD3B7$890 8147981479,81479 Add to Order

Pricing Comments

Our favored testing approach is exome based NextGen sequencing with CNV analysis. This will allow cost effective reflexing to PGxome or other exome based tests. However, if full gene Sanger sequencing is desired for STAT turnaround time, insurance, or other reasons, please see link below for Test Code, pricing, and turnaround time information. If the Sanger option is selected, CNV detection may be ordered through Test #600.

A 25% additional charge will be applied to STAT orders. View STAT turnaround times here.

For Reflex to PGxome pricing click here.

The Sanger Sequencing method for this test is NY State approved.

For Sanger Sequencing click here.

Targeted Testing

For ordering sequencing of targeted known variants, go to our Targeted Variants page.

Turnaround Time

18 days on average


Genetic Counselors


Clinical Features and Genetics

Clinical Features

Congenital bile acid synthesis defect type 1 (CBAS1) is a progressive liver disease of neonatal onset characterized by cholestasis (Schwarz et al. 2000; Cheng et al. 2003). Due to impaired bile acid synthesis, within the first weeks of life, affected infants start to present malabsorption of lipids and lipid-soluble vitamins from the gastrointestinal tract. Clinical features include failure to thrive, jaundice, steatorrhea, hepatomegaly, cirrhosis, rickets and splenomegaly.


Recessive HSD3B7 pathogenic variants cause congenital bile acid synthesis defect type 1 (Cheng et al. 2003; Mizuochi et al. 2010). The HSD3B7 gene (7 coding exons) encodes 3 beta-hydroxysteroid dehydrogenase type 7, which is an enzyme in the production process of bile acids. Genetic defects of HSD3B7 found to date include missense, nonsense, splicing mutations, and small indels (Human Gene Mutation Database). No large deletions and duplications have been reported.

Testing Strategy

This test provides full coverage of all coding exons of the HSD3B7 gene plus 10 bases of flanking noncoding DNA in all available transcripts along with other non-coding regions in which pathogenic variants have been identified at PreventionGenetics or reported elsewhere. We define full coverage as >20X NGS reads or Sanger sequencing.

Since this test is performed using exome capture probes, a reflex to any of our exome based tests is available (PGxome, PGxome Custom Panels).

Clinical Sensitivity - Sequencing with CNV

Recessive HSD3B7 pathogenic variants were identified in all 13 families that were previously diagnosed by mass spectrometric analyses (Cheng et al. 2003). Therefore, mutation detection rate is expected to be high if patients are strongly indicated clinically and biochemically.

Indications for Test

Candidates for this test are patients with congenital bile acid synthesis defect type 1. Testing is also indicated for family members of patients who have known HSD3B7 mutations. This test may also be considered for the reproductive partners of individuals who carry pathogenic variants in HSD3B7.


Official Gene Symbol OMIM ID
HSD3B7 607764
Inheritance Abbreviation
Autosomal Dominant AD
Autosomal Recessive AR
X-Linked XL
Mitochondrial MT


Name Inheritance OMIM ID
Bile Acid Synthesis Defect, Congenital, 1 AR 607765


  • Cheng J.B. et al. 2003. The Journal of Clinical Endocrinology and Metabolism. 88: 1833-41. PubMed ID: 12679481
  • Human Gene Mutation Database (Bio-base).
  • Mizuochi T. et al. 2010. Pediatric Research. 68: 258-63. PubMed ID: 20531254
  • Schwarz M. et al. 2000. The Journal of Clinical Investigation. 106: 1175-84. PubMed ID: 11067870


Ordering Options

myPrevent - Online Ordering

  • The test can be added to your online orders in the Summary and Pricing section.
  • Once the test has been added log in to myPrevent to fill out an online requisition form.

Requisition Form

  • A completed requisition form must accompany all specimens.
  • Billing information along with specimen and shipping instructions are within the requisition form.
  • All testing must be ordered by a qualified healthcare provider.

For Requisition Forms, visit our Forms page

Specimen Types

Specimen Requirements and Shipping Details

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